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CMS RVU26D · Effective 2026-10-01

21087 in Vallejo

Office / nonfacility

$1858.95

Base rate per service

Facility setting

$1199.06

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Maxillofacial prosthetics

About 21087: Custom nasal prosthesis preparation

Captures the nasal defect and custom-prepares a nasal prosthesis, typically for a patient with acquired nasal loss or deformity after cancer, trauma, or surgery.

This service covers taking an impression of the nasal area and custom-preparing a prosthesis to replace or restore the external nose. It is used for acquired defects, such as after tumor removal or trauma, when a patient needs a prosthetic rather than surgical reconstruction. A maxillofacial prosthodontist, oral and maxillofacial surgeon, or another clinician with relevant prosthetic expertise may perform the work in an office or facility setting.

Report the code for the nasal prosthetic service, not for surgical repair of the nose. Documentation should identify the defect and clinical need and support the impression and custom preparation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Report the nasal service without modifier 50. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 21087

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU24.26 · 50%
  • Practice expense (office) RVU21.70 · 45%
  • Malpractice RVU2.76 · 6%

63

Medicare services in 2024 · #5206 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

21087 compared with similar codes

Office rates for Vallejo, from the same CMS release.

21086

Auricular prosthesis

Impression and preparation

$1,858.95

21086 is for an auricular prosthesis. Choose 21087 when the prosthesis is for the nose.

21088

Impres&prep facial prosth

No office rate

21088 addresses a facial prosthesis, while 21087 is specific to a nasal prosthesis.

21089

Unlisted maxlfcl prosth px

No office rate

21089 is for an unlisted maxillofacial prosthetic procedure. Use 21087 when the service is the specifically described nasal prosthesis work.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 21087 is $1676.22—$182.73 lower than the $1858.95 rate in Vallejo. Both use the same code, release and participation basis.

21087 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $1858.95

  2. Bakersfield

    $1676.22

    $182.73 lower than Vallejo

  3. Chico

    $1667.87

    $191.08 lower than Vallejo

  4. El Centro

    $1668.33

    $190.62 lower than Vallejo

  5. Fresno

    $1667.87

    $191.08 lower than Vallejo

  6. Hanford-Corcoran

    $1667.87

    $191.08 lower than Vallejo

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1762.18

    $96.77 lower than Vallejo

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 21087 ranges from $1480.38 in Arkansas to $2038.17 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Merced

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Modesto

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Napa

    California · 21087

    Office

    $1863.47

    Facility

    $1203.58

    $4.52 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21087

    Office

    $1747.14

    Facility

    $1155.34

    $111.81 lower than Vallejo for the office setting.

  • Redding

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Rest Of California

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21087

    Office

    $1697.91

    Facility

    $1149.16

    $161.04 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21087

    Office

    $1731.83

    Facility

    $1149.54

    $127.12 lower than Vallejo for the office setting.

  • Salinas

    California · 21087

    Office

    $1724.88

    Facility

    $1144.59

    $134.07 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21087

    Office

    $1751.44

    Facility

    $1152.63

    $107.51 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21087

    Office

    $1951.57

    Facility

    $1245.61

    $92.62 higher than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 21087

    Office

    $1948.43

    Facility

    $1242.47

    $89.48 higher than Vallejo for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 21087

    Office

    $1994.01

    Facility

    $1272.03

    $135.06 higher than Vallejo for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 21087

    Office

    $1981.20

    Facility

    $1259.22

    $122.25 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21087

    Office

    $1699.04

    Facility

    $1128.77

    $159.91 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 21087

    Office

    $1757.37

    Facility

    $1149.04

    $101.58 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 21087

    Office

    $1727.52

    Facility

    $1143.73

    $131.43 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 21087

    Office

    $1774.08

    Facility

    $1159.25

    $84.87 lower than Vallejo for the office setting.

  • Stockton

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Visalia

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Yuba City

    California · 21087

    Office

    $1667.87

    Facility

    $1119.13

    $191.08 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 21087

    Office

    $1810.48

    Facility

    $1220.68

    $48.47 lower than Vallejo for the office setting.

  • Miami

    Florida · 21087

    Office

    $1797.96

    Facility

    $1276.75

    $60.99 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 21087

    Office

    $1755.97

    Facility

    $1252.79

    $102.98 lower than Vallejo for the office setting.

  • Manhattan

    New York · 21087

    Office

    $1850.59

    Facility

    $1268.80

    $8.36 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 21087

    Office

    $2038.17

    Facility

    $1504.94

    $179.22 higher than Vallejo for the office setting.

  • Alabama

    Alabama · 21087

    Office

    $1496.68

    Facility

    $1058.59

    $362.27 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 21087

    Office

    $1480.38

    Facility

    $1050.30

    $378.57 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 21087

    Office

    $1591.55

    Facility

    $1106.39

    $267.40 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 21087

    Office

    $1663.21

    Facility

    $1130.49

    $195.74 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 21087

    Office

    $1718.67

    Facility

    $1179.43

    $140.28 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 21087

    Office

    $1613.33

    Facility

    $1118.66

    $245.62 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 21087

    Office

    $1711.20

    Facility

    $1204.01

    $147.75 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 21087

    Office

    $1641.77

    Facility

    $1163.12

    $217.18 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 21087

    Office

    $1659.85

    Facility

    $1151.16

    $199.10 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 21087

    Office

    $1566.71

    Facility

    $1120.11

    $292.24 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 21087

    Office

    $1687.78

    Facility

    $1118.51

    $171.17 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 21087

    Office

    $1510.10

    Facility

    $1051.97

    $348.85 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 21087

    Office

    $1520.73

    Facility

    $1060.10

    $338.22 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 21087

    Office

    $1662.78

    Facility

    $1202.16

    $196.17 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 21087

    Office

    $1616.14

    Facility

    $1159.01

    $242.81 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 21087

    Office

    $1723.70

    Facility

    $1209.50

    $135.25 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 21087

    Office

    $1527.00

    Facility

    $1062.87

    $331.95 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 21087

    Office

    $1511.99

    Facility

    $1059.37

    $346.96 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 21087

    Office

    $1539.00

    Facility

    $1093.90

    $319.95 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 21087

    Office

    $1597.07

    Facility

    $1125.93

    $261.88 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 21087

    Office

    $1540.07

    Facility

    $1096.97

    $318.88 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 21087

    Office

    $1790.98

    Facility

    $1193.17

    $67.97 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21087

    Office

    $1659.96

    Facility

    $1132.74

    $198.99 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21087

    Office

    $1715.02

    Facility

    $1177.79

    $143.93 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 21087

    Office

    $1636.53

    Facility

    $1129.85

    $222.42 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 21087

    Office

    $1534.46

    Facility

    $1073.84

    $324.49 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 21087

    Office

    $1586.75

    Facility

    $1090.58

    $272.20 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 21087

    Office

    $1665.16

    Facility

    $1182.01

    $193.79 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 21087

    Office

    $1576.13

    Facility

    $1119.01

    $282.82 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 21087

    Office

    $1583.41

    Facility

    $1068.21

    $275.54 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 21087

    Office

    $1580.96

    Facility

    $1110.82

    $277.99 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 21087

    Office

    $1592.69

    Facility

    $1116.04

    $266.26 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 21087

    Office

    $1524.87

    Facility

    $1093.29

    $334.08 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 21087

    Office

    $1502.48

    Facility

    $1071.40

    $356.47 lower than Vallejo for the office setting.

  • Montana**

    Montana · 21087

    Office

    $1627.11

    Facility

    $1126.43

    $231.84 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 21087

    Office

    $1545.45

    Facility

    $1078.32

    $313.50 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 21087

    Office

    $1572.53

    Facility

    $1071.85

    $286.42 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 21087

    Office

    $1514.14

    Facility

    $1052.02

    $344.81 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 21087

    Office

    $1645.49

    Facility

    $1124.28

    $213.46 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 21087

    Office

    $1800.58

    Facility

    $1219.79

    $58.37 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 21087

    Office

    $1735.33

    Facility

    $1188.59

    $123.62 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 21087

    Office

    $1585.66

    Facility

    $1126.54

    $273.29 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 21087

    Office

    $1612.62

    Facility

    $1111.44

    $246.33 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21087

    Office

    $1895.14

    Facility

    $1299.83

    $36.19 higher than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21087

    Office

    $1751.97

    Facility

    $1203.73

    $106.98 lower than Vallejo for the office setting.

  • Queens

    New York · 21087

    Office

    $1851.81

    Facility

    $1260.01

    $7.14 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 21087

    Office

    $1563.67

    Facility

    $1088.03

    $295.28 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 21087

    Office

    $1564.97

    Facility

    $1107.85

    $293.98 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 21087

    Office

    $1529.18

    Facility

    $1082.07

    $329.77 lower than Vallejo for the office setting.

  • Portland

    Oregon · 21087

    Office

    $1697.11

    Facility

    $1140.85

    $161.84 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 21087

    Office

    $1597.01

    Facility

    $1098.34

    $261.94 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21087

    Office

    $1689.39

    Facility

    $1168.18

    $169.56 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21087

    Office

    $1562.79

    Facility

    $1103.16

    $296.16 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 21087

    Office

    $1633.88

    Facility

    $1127.69

    $225.07 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 21087

    Office

    $1656.65

    Facility

    $1139.45

    $202.30 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 21087

    Office

    $1558.38

    Facility

    $1095.75

    $300.57 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 21087

    Office

    $1566.08

    Facility

    $1065.40

    $292.87 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 21087

    Office

    $1518.65

    Facility

    $1063.54

    $340.30 lower than Vallejo for the office setting.

  • Austin

    Texas · 21087

    Office

    $1660.44

    Facility

    $1130.72

    $198.51 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 21087

    Office

    $1555.51

    Facility

    $1099.90

    $303.44 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 21087

    Office

    $1606.97

    Facility

    $1110.80

    $251.98 lower than Vallejo for the office setting.

  • Dallas

    Texas · 21087

    Office

    $1618.59

    Facility

    $1119.92

    $240.36 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 21087

    Office

    $1612.55

    Facility

    $1118.88

    $246.40 lower than Vallejo for the office setting.

  • Galveston

    Texas · 21087

    Office

    $1612.84

    Facility

    $1115.67

    $246.11 lower than Vallejo for the office setting.

  • Houston

    Texas · 21087

    Office

    $1663.36

    Facility

    $1166.19

    $195.59 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 21087

    Office

    $1581.38

    Facility

    $1106.24

    $277.57 lower than Vallejo for the office setting.

  • Utah

    Utah · 21087

    Office

    $1574.40

    Facility

    $1103.76

    $284.55 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 21087

    Office

    $1587.87

    Facility

    $1095.70

    $271.08 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21087

    Office

    $1633.88

    Facility

    $1127.69

    $225.07 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 21087

    Office

    $1574.50

    Facility

    $1078.83

    $284.45 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 21087

    Office

    $1654.21

    Facility

    $1126.99

    $204.74 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 21087

    Office

    $1815.47

    Facility

    $1201.13

    $43.48 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 21087

    Office

    $1533.06

    Facility

    $1053.41

    $325.89 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 21087

    Office

    $1572.08

    Facility

    $1136.99

    $286.87 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 21087

    Office

    $1603.32

    Facility

    $1102.64

    $255.63 lower than Vallejo for the office setting.

See how rates vary across the country

21087 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$1,480.38

$2,038.17

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$2,038.171
AL$1,496.681
AR$1,480.381
AZ$1,591.551
CA$1,667.87–$1,994.0129
CO$1,663.211
CT$1,718.671
DC$1,810.481
DE$1,613.331
FL$1,641.77–$1,797.963
GA$1,566.71–$1,659.852
GU$1,687.781
HI$1,687.781
IA$1,510.101
ID$1,520.731
IL$1,616.14–$1,755.974
IN$1,527.001
KS$1,511.991
KY$1,539.001
LA$1,540.07–$1,597.072
MA$1,659.96–$1,790.982
MD$1,636.53–$1,810.483
ME$1,534.46–$1,586.752
MI$1,576.13–$1,665.162
MN$1,583.411
MO$1,524.87–$1,592.693
MS$1,502.481
MT$1,627.111
NC$1,545.451
ND$1,572.531
NE$1,514.141
NH$1,645.491
NJ$1,735.33–$1,800.582
NM$1,585.661
NV$1,612.621
NY$1,563.67–$1,895.145
OH$1,564.971
OK$1,529.181
OR$1,597.01–$1,697.112
PA$1,562.79–$1,689.392
PR$1,633.881
RI$1,656.651
SC$1,558.381
SD$1,566.081
TN$1,518.651
TX$1,555.51–$1,663.368
UT$1,574.401
VA$1,587.87–$1,810.482
VI$1,633.881
VT$1,574.501
WA$1,654.21–$1,815.472
WI$1,533.061
WV$1,572.081
WY$1,603.321

Explore 21087 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 21087 in Vallejo, the physician’s office rate is $1858.95 and the facility-setting rate is $1199.06: a difference of $659.89.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 21087 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$2044.85

$1858.95 × 110% = $2044.85

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21087 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

1,871

Code
21087
Physician work
24.26
Practice expense
21.70
Malpractice
2.76

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 21087 in Vallejo
ComponentRVULocality factorAdjusted
Physician work24.26× 1.06325.7884
Practice expense21.70× 1.31828.6006
Malpractice2.76× 0.4591.2668
Total RVUs55.6558
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$1858.95

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 21087 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work24.261.063
Practice expense21.71.318
Malpractice2.760.459

(24.26 × 1.063 + 21.7 × 1.318 + 2.76 × 0.459) × $33.4009 = $1858.95

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work24.261.063
Practice expense6.711.318
Malpractice2.760.459

(24.26 × 1.063 + 6.71 × 1.318 + 2.76 × 0.459) × $33.4009 = $1199.06

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

21087 · Office / nonfacility

$1858.95

Effective 2026-10-01

The base rate is $89.08 higher than on 2025-10-01, moving from $1769.87 to $1858.95 (5.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $1769.87changed to$1858.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 24.88 changed to 24.26
    • Practice expense RVU 20.82 changed to 21.70
    • Malpractice RVU 2.38 changed to 2.76
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1769.87

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$1858.95$1199.06RVU26D
2026-07-01$1858.95$1199.06RVU26C
2026-04-01$1858.95$1199.06RVU26B
2026-01-01$1858.95$1199.06RVU26A
2025-10-01$1769.87$1385.11RVU25D
2025-07-01$1769.87$1385.11RVU25C
2025-04-01$1769.87$1385.11RVU25B
2025-01-01$1769.87$1385.11RVU25A

21087 billing questions

When is 21087 appropriate instead of a facial prosthesis code?

Use 21087 when the custom prosthesis is for the nose. A prosthesis replacing a broader facial area is represented by 21088.

Does this code describe surgical reconstruction of the nose?

No. It covers impression work and custom preparation of a nasal prosthesis, rather than operative repair or reconstruction.

What documentation supports reporting 21087?

Document the nasal defect, the reason a prosthesis is needed, and the impression and custom-preparation work performed.

Should modifier 50 be appended for a nasal prosthesis?

No. Report the nasal prosthetic service without modifier 50.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction.

What is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 21087PPRRVU2026_Oct_nonQPP.csv, line 1,871 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet